KEVIN GRANT FACKLER

LOUISVILLE, KY
NPI1275242869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: IN  99114992A)
Enumeration Date2022-11-22
Last Update Date2023-09-25
Business Address
KEVIN GRANT FACKLER TSW
4922 LAGOONA DR
LOUISVILLE, KY 40219-5404
Phone number: 502-396-2358
Mailing Address
KEVIN GRANT FACKLER TSW
4922 LAGOONA DR
LOUISVILLE, KY 40219-5404
Phone number: 502-396-2358
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